Home
/
Comprehensive
/
Skilled Inpatient Care Coordinator
Skilled Inpatient Care Coordinator-January 2024
Tuscaloosa
Jan 30, 2025
ABOUT UNITEDHEALTH GROUP
With offices around the world, UnitedHealth Group's headquarters are located in the Minneapolis metropolitan area.
10,000+ employees
Healthcare
VIEW COMPANY PROFILE >>
About Skilled Inpatient Care Coordinator

  Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work.SM

  The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys. The SICC completes weekly functional assessments and engages the post-acute care (PAC) inter-disciplinary care team to coordinate discharge planning to support the members PAC journey. The position engages patients and families to share information and facilitate informed decisions. By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.

  Candidate will support the Tuscaloosa, AL location(s) for on-site facility needs within 30-mile maximum radius of home location based on manager discretion.

  Primary Responsibilities:

  By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care

  Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays

  Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families

  Complete all SNF concurrent reviews, updating authorizations on a timely basis

  Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc

  Assure patients’ progress toward discharge goals and assist in resolving barriers

  Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director

  Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services

  Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed

  Attend patient/family care conferences

  Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to CMS criteria

  When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate

  Coordinate peer to peer reviews with naviHealth Medical Directors

  Support new delegated contract start-up to ensure experienced staff work with new contracts

  Manage assigned caseload in an efficiently and effectively utilizing time management skills

  Enter timely and accurate documentation into nH coordinate

  Daily review of census and identification of barriers to managing independent workload and ability to assist others

  Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement

  Adhere to organizational and departmental policies and procedures

  Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws

  Complete cross-training and maintain knowledge of multiple contracts/clients to support coverage needs across the business.

  Keep current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies, and benefits)

  Adhere to all local, state, and federal regulatory policies and procedures

  Promote a positive attitude and work environment

  Attend naviHealth meetings as requested

  Hold patients’ protected health information confidential as required by applicable laws, regulations, or agency/institution procedures

  Perform other duties and responsibilities as required, assigned, or requested

  You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

  Required Qualifications:

  Active, unrestricted registered clinical license required in state of hire – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist

  3+ years of clinical experience

  Intermediate proficiency with Outlook, Excel and Word

  Preferred Qualifications:

  2+ years of Case Management experience

  Familiarity with care management, utilization/resource management processes and disease management programs

  Experience working with geriatric population

  Patient education background, rehabilitation, and/or home health nursing experience

  Proven ability to be detail-oriented

  Proven ability to be a team player

  Demonstrated exceptional verbal and written interpersonal and communication skills

  Proven solid problem solving, conflict resolution, and negotiating skills

  Proven independent problem identification/resolution and decision-making skills

  Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously

  Work Conditions and Physical Requirements:

  Ability to establish a home office workspace

  Ability to manipulate laptop computer (or similar hardware) between office and site settings

  Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time

  Ability to communicate with clients and team members including use of cellular phone or comparable communication device

  Ability to remain stationary for extended time periods (1 - 2 hours)

  Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time

  At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

  Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

  UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

  #Red #RPO

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
Controlling Supervisor
About Us BorgWarner is a global product leader in delivering innovative and sustainable mobility solutions. We are a company of innovators and independent thinkers that brings together talented emplo
Principal Software Developer, C/C++, Go, Virtual Networking Data Plane (JoinOCI-SDE)
Job Description Design, develop, fix and debug software programs for databases, applications, tools, networks etc. As a member of the software engineering division, you will take an active role in th
Advanced Engineer Support Specialist
Honeywell's Electronic Solutions (ES) is a worldwide leader in the development of flight controls, displays, guidance and navigation systems and inertial instruments. The Glendale, AZ ES facility has
F&B Assistant
A F&B Assistant is responsible to assist the Bartenders, Waiters and Waitresses in the serving and clearing of food and beverage orders, providing the highest degree of guest satisfaction and mai
Software Engineer, Systems
Summary: Meta Platforms, Inc. (Meta), formerly known as Facebook, Inc., builds technologies that help people connect, find communities, and grow businesses. When Facebook launched in 2004, it changed
Software Engineer, Systems
Summary: Meta Platforms, Inc. (Meta), formerly known as Facebook Inc., builds technologies that help people connect, find communities, and grow businesses. When Facebook launched in 2004, it changed
SUSTAINABILITY
Job Summary: Job Summary: WHO ARE WE? Live Nation Entertainment is the world’s leading live entertainment company, comprised of global market leaders: Ticketmaster, Live Nation Concerts, and Live Nat
CASINO FLOOR RUNNER Rocker Lucky Lil's
CASINO FLOOR RUNNER Rocker Lucky Lil's Date:Jan 23, 2024 Location: Rocker, MT, US, 59701 Apply now » Casino Floor Runner Montana's Best Casinos: We immediately create a comfortable, fun environment f
Senior Manager, Software Investment Advisory
Job Description The business will focus on developing and implementing a consultative services strategy to help Oracle customers improve the value from their Oracle investments. The objectives of the
Maintenance Engineer
We are currently hiring Maintenance Engineers to join our growing team! Job Details: Weekly pay Full benefits (medical, dental, vision, 401k) Job Description: Assigned to preventative maintenance or
Copyright 2023-2025 - www.zdrecruit.com All Rights Reserved